African Urology <p><strong>African Urology (AU)</strong> is a peer reviewed, open access and multilingual journal publishing original research articles in all aspects of the prevention, diagnosis and management of urological disorders.</p> en-US (Robyn Marais) (Robyn Marais) Mon, 13 Sep 2021 10:07:07 +0000 OJS 60 A tribute to Dr Willem Laubscher <p>Willem Marthinus Lötter Laubscher was born in Observatory, Cape Town, on 1 February 1929. He passed away on 19 January 2021, two weeks before his 92nd birthday.</p> MLS de Kock Copyright (c) 2021 African Urology Mon, 02 Aug 2021 00:00:00 +0000 Analysis of the learning curve in robotic-assisted laparoscopic radical prostatectomy in a South African setting <p><strong>Background:</strong> Robotic-assisted laparoscopic radical prostatectomy (RALP) represents a modern minimally invasive technique for treating men with localised prostate cancer. The aim of the study is to demonstrate a progression in the learning curve of two South African-based urologists as both embark on their first-ever series of RALP cases.</p> <p><strong>Method:</strong> We performed a retrospective audit of patients who had a RALP with two South African urologists between the dates of September 2014 to May 2019. All RALP cases were included unless critical data could not be collected. We analysed several perioperative parameters as surrogates to demonstrate the trend in learning curve. These parameters included: D’Amico risk group classification; console time (CT); estimated blood loss (EBL), length of stay (LOS); and pathological outcomes: T-staging and positive surgical margin (PSM) rates.</p> <p><strong>Results:</strong> Our study of 600 RALP cases demonstrates that for the parameters of median CT, EBL, LOS and PSM rates, there were notable improvements between the first and last groups of both surgeons’ series.</p> <p><strong>Conclusion:</strong> This study demonstrates that, similar to internationally published data, notable improvements in perioperative outcomes can be observed as each of our two surgeons gain experience in RALP. When analysing our outcomes of CT, EBL, PSM rate and LOS, we see that our results compare favourably to other internationally published data.</p> S De Jager, J Howlett, G Bruwer, C Moolman Copyright (c) 2021 African Urology Mon, 13 Sep 2021 00:00:00 +0000 Renal cancer: First look at a potential South African urological cancer registry <p><strong>Purpose:</strong> The National Cancer Registry (NCR) of South Africa is the largest repository of cancer data in South Africa. While the NCR collects essential demographic data, vital clinical and tumour data are not captured. For these reasons, the authors propose the establishment of a prospective South African urological cancer registry. To spark interest in this proposal, we retrospectively analysed renal cancer histopathology reports submitted to the NCR.</p> <p><strong>Materials and methods:</strong> This was a retrospective audit of all renal cancer histopathological reports submitted to the NCR over two years. Descriptive statistics were explored and are presented as means and standard deviations for continuous variables and proportions for categorical variables.</p> <p><strong>Results:</strong> Eight hundred and one reports were submitted to the NCR from 22 laboratories. The mean age of the sample was 59 (± 4 years). Males accounted for 60% and females 40%. The population group for the majority of patients (50%) were classified as White, 28% were Black Africans, 14% were Coloured, and 6% were Asian/Indian. Clear cell renal cell carcinoma (ccRCC) accounted for the majority of cases (79%). Papillary RCC and chromophobe RCC accounted for 18% and 1.6%, respectively. American Joint Committee on Cancer pathological tumour staging showed more localised pT1 and pT2 tumours, 38.5% and 27.9%, respectively. Locally advanced, i.e. pT3 and pT4, formed 22.8% and 3.7% of all cases, respectively. Histological proof of metastatic disease was present in 7.1% of patients. World Health Organization/ International Society of Urological Pathology histological tumour grading for clear cell RCC showed 16.8%, 43.4%, 28.7% and 11.1% for grades 1, 2, 3 and 4, respectively.</p> <p><strong>Conclusion:</strong> Urological cancers may be well underdiagnosed and misrepresented by the statistics published by the NCR. Establishing a prospective South African urological cancer registry will help qualify the burden of urological cancers more accurately and improve national resource allocation.</p> R Rugakingira, J John, E Singh, WC Chen, HT Wu, J Lazarus Copyright (c) 2021 African Urology Mon, 02 Aug 2021 00:00:00 +0000 Foreign bodies in the urinary bladder – report on two cases in Kumasi, Ghana <p><strong>Purpose:</strong> Foreign bodies (FBs) in the urinary bladder can pose major diagnostic and treatment challenges. They usually present as persistent or recurrent urinary tract infections which do not respond to antibiotics. FBs in the urinary bladder may be self-inflicted for autoerotic, psychiatric or therapeutic reasons by the patient. It may also be as a result of migration from adjacent organs or from penetrating trauma. The aim is to highlight the need for thorough urological evaluation in patients presenting with persistent or recurrent urinary tract infections post-abdominal or groin surgery.</p> <p><strong>Results:</strong> We present a 28-year-old man with nylon suture in the bladder and a 53-year-old woman with gauze in the bladder who presented at seven months post-hernia repair and one year post-abdominal hysterectomy respectively and were successfully managed at our centre They had similar clinical presentations of lower urinary tract symptoms, dysuria and recurrent gross haematuria following their respective surgeries.</p> <p><strong>Conclusion:</strong> Foreign body in the urinary bladder should be considered a differential diagnosis in any patient with persistent or recurrent urinary tract infections following any abdominal/groin surgical procedure.</p> KAA Appiah, POM Maison, CK Gyasi-Sarpong , CK Adofo, G Amoah, EMT Yenli, DA Mintah, A Otu, A Antwi-Kusi, RMK Djokoto Copyright (c) 2021 African Urology Mon, 13 Sep 2021 00:00:00 +0000 Urogynaecology: A new training opportunity for urologists in South Africa <p>Pelvic floor dysfunction (PFD) in women is common and often distressing to those affected. Urogynaecology is a relatively new subspeciality internationally that aims to improve the quality of care of women with pelvic floor disorders. The College of Urologists of South Africa has, since 2020, started offering a subspeciality certificate in urogynaecology for urologists. In this article, this new training opportunity is discussed by the first urologist undertaking formal subspecialist training in South Africa.</p> AL Moore Copyright (c) 2021 African Urology Mon, 02 Aug 2021 00:00:00 +0000